{"id":73055,"date":"2005-07-03T00:00:00","date_gmt":"2005-07-03T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/prediccion-de-la-evolucion-neurologica-en-pacientes-que-sufren-parada-cardiorespiratoria\/"},"modified":"2005-07-03T00:00:00","modified_gmt":"2005-07-03T00:00:00","slug":"prediccion-de-la-evolucion-neurologica-en-pacientes-que-sufren-parada-cardiorespiratoria","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/prediccion-de-la-evolucion-neurologica-en-pacientes-que-sufren-parada-cardiorespiratoria\/","title":{"rendered":"Predicci\u00f3n de la evoluci\u00f3n neurol\u00f3gica en pacientes que sufren parada cardiorespiratoria"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Peral Gutierrez De Ceballos Jose <\/strong><\/h2>\n<p>Aproximadamente el 80% de los pacientes que sobreviven a un paro card\u00edaco  permanecen en situaci\u00f3n de coma durante periodos variables de tiempo. Esta  p\u00e9rdida de conciencia puede indicar la existencia de una lesi\u00f3n permanente, con  evoluci\u00f3n a estado vegetativo, pero en otras ocasiones representa una alteraci\u00f3n metab\u00f3lica potencialmente recuperable. Es importante desde un punto de vista m\u00e9dico y social poder predecir la intensidad del da\u00f1o neuro1\u00f3gico, y estimar de manera precoz el pron\u00f3stico de los pacientes con encefa10pat\u00edapost-an\u00f3xica.Estudio observaciona1 de cohortes prospectivo, con inclusi\u00f3n de todos los pacientes en coma an\u00f3xico secundario a una pcr. 65 pacientes. Edad media 59  a\u00f1os. Apache ii 28.7. Estancia media 9.7. Mortalidad a los 6 meses 81%.  evoluci\u00f3n neuro1\u00f3gica a los 6 meses: 57 pacientes en coma, 5 con buena  recuperaci\u00f3n y 3 con incapacidad moderada.  la presencia de mioclon\u00edas, el patr\u00f3n \u00abburst-suppression\u00bb en el trazado eeg y la ausencia bilateral de n20 implican evoluci\u00f3n a e5tado vegetativo en el 100% de nuestros pacientes. La exploraci\u00f3n cl\u00ednica inicial permite una primera  aproximaci\u00f3n a la situaci\u00f3n cl\u00ednica, pero carece de peso suficiente para permitir tomar decisiones sobre la discontinuidad del tratamiento. La abolici\u00f3n del reflejo fotomotor o la ausencia de toda respuesta motora pueden no significar lesi\u00f3n irreversible y por tanto la retirada de las medidas de soporte debe ser cuestionada. La ausencia bilateral de n20 es la herramienta m\u00e1s \u00fatil para establecer el mal pron\u00f3stico de la encefa10pat\u00eda post-an\u00f3xica. los potenciales somatosensoriales no permiten pronosticar la recuperabilidad o la buena evoluci\u00f3n de estos pacientes<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Predicci\u00f3n de la evoluci\u00f3n neurol\u00f3gica en pacientes que sufren parada cardiorespiratoria<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Predicci\u00f3n de la evoluci\u00f3n neurol\u00f3gica en pacientes que sufren parada cardiorespiratoria <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Peral Gutierrez De Ceballos Jose <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 07\/03\/2005<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Jose De Portugal  Alvarez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Diaz rubio garcia <\/li>\n<li>Francisco Tabrada costa (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Eiros bouza (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Peral Gutierrez De Ceballos Jose Aproximadamente el 80% de los pacientes que sobreviven a un paro card\u00edaco [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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